NPIMap

Individual provider Active NPI

Ridhi Bansal, MD

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1134317233
Registry record updated Mar 30, 2018
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Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME134198 Issued in FL
Practice address
7125 Murrell Rd Ste D
Melbourne, FL 32940-7999
Phone
(321) 242-8790
Fax
(321) 254-4960
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME134198 FL Primary

Addresses

Primary practice location

7125 Murrell Rd Ste D
Melbourne, FL 32940-7999

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-1981

Other practice location 1

7125 Murrell Rd Ste D
Melbourne, FL 32940-7999
Phone (321) 242-8790 ext. 2510

Other identifiers 1

IdentifierTypeStateIssuer
JF480ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180123003432 FL Practitioner - Internal Medicine 4981847068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

7125 Murrell Rd
Viera, FL 32940-7999
Phone (321) 242-8790

Hospital & facility affiliations

  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Feb 1, 2018 Accepting new patients
Health First Medical Group, LLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

7125 Murrell Rd
Ste D
Viera, FL 32940
Phone (321) 434-2524

7125 Murrell Rd
Ste F
Viera, FL 32940
Phone (321) 434-6555

7125 Murrell Rd
Viera, FL 32940
Phone (321) 242-8790

Interoperability endpoints

  • Direct secure messaging: rbansal28020@epicdirect.hf.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1134317233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-434-1981",
            "fax_number": "321-951-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 MURRELL RD STE D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407999",
            "telephone_number": "321-242-8790",
            "fax_number": "321-254-4960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7125 Murrell Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407999",
            "country_code": "US",
            "telephone_number": "321-242-8790 x2510",
            "fax_number": "321-254-4960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "RIDHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME134198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JF480Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.